title: Preconception care for people living with HIV: recommendations for advancing implementation.
abstract: Globally, research has documented high fertility desires and intentions among HIV-positive women. Improving implementation of preconception care (PCC) for people living with HIV is critical, given estimates that the majority of HIV-positive women who want future biological children have not received reproductive counseling, largely due to a lack of provider-initiated conversations. This article offers initial recommendations and outlines key considerations for a research agenda to advance PCC implementation efforts in both high-resource and low-resource settings. We consider who should provide PCC; where it can be effectively delivered; when it should be offered; and two potential implementation models depending on available resources. We conclude with a call for PCC-specific implementation science and research translation to help people living with HIV achieve their reproductive goals.
authors.affiliation: aDepartment of Population, Family, and Reproductive Health, The Johns Hopkins Bloomberg School of Public Health bDivision of Gynecologic Specialties, The Johns Hopkins Medical Institutions, Baltimore, Maryland cDepartment of Family Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
authors.forename: Riley J
authors.initials: RJ
authors.lastname: Steiner
authors.forename: Jacinda K
authors.initials: JK
authors.lastname: Dariotis
authors.forename: Jean R
authors.initials: JR
authors.lastname: Anderson
authors.forename: Sarah
authors.initials: S
authors.lastname: Finocchario-Kessler
mesh_terms: D005260:Female; D015658:HIV Infections; D006801:Humans; D016742:Preconception Care / Q000379:methods* / Q000458:organization & administration*